Home Practice Resources AUA Quality (AQUA) Registry MIPS Reporting

Using the AQUA Registry for MIPS Reporting

The Merit-based Incentive Payment System (MIPS) is a path to participate in the CMS Quality Payment Program (QPP), which was created under the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 to combine multiple value-based programs. The AQUA Registry is a “one-stop shop” which reports on measures in all required MIPS categories.

The graphic below shows how the AQUA Registry can help streamline your practice’s MIPS reporting needs. If you participate in Medicare Part B, you may earn a performance-based payment adjustment through MIPS.

Merit-Based Incentive Payment System
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Who is eligible?

Eligible providers must bill Medicare Part B more than $90,000 annually and provide care to more than 200 individual Part B beneficiaries, per year. Both requirements must be met in order to partake in the program. For MIPS, you must also be a:

  • Physician
  • Physician assistant
  • Nurse practitioner
  • Clinical nurse specialist
  • Certified registered nurse anesthetist

Removal of Pick-Your-Pace in MIPS

For the 2018 performance year, CMS finalized to remove the previous pick-your-pace options. Per the 2018 final rule, eligible providers are required to submit a full year's worth of data for the Quality performance category. Additionally, providers are required to report on a continuous 90 days for the Promoting Interoperability and Improvement Activities performance categories.

Eligible providers who do not report their data will receive a financial penalty under MIPS. The table below shows the maximum negative adjustments based on the practice size:

Penalty for Not Reporting

Practice Size

Maximum Negative Adjustment under MIPS^

(5%, 2018 performance year)









^Figures are based on 2014-2015 CMS payments to urologists.  

To learn more about the Merit-based Incentive Payment System, review AUA's MIPS Toolkit.

If you are not able to report electronically through the AQUA Registry, the AUA offers the MIPS Manual Entry Webtool as an option to report on both QPP and Non-QPP urology-specific measures, which are most relevant to urologic providers. For more information email



Important Dates & Deadlines

April 1, 2019

AQUA Registry Recruitment Period begins

*Disclaimer: If your institution expects third parties to use their institution-specific  BAA, has complex security requirements or other special issues, make sure to start the enrollment process as soon as possible to ensure all necessary paperwork is completed prior to the deadline.